Welcome to Blue Shield of California Promise Health Plan's website and/or mobile application (“App”). This website is owned and operated by Blue Shield of California Promise Health Plan. We at Blue Shield of California Promise Health Plan respect your privacy and we work hard to protect the information you provide online. Blue Shield of California Promise Health Plan maintains Notices of Privacy Practices that describe how we protect, use, and disclose our members’ and policyholders' personal information.
 

Download the Promise Notice of Privacy Practices Medi-Cal San Diego (SD)

English (PDF, 374 KB)
Arabic (PDF, 633 KB)
Chinese (Traditional) (PDF, 674 KB)
Chinese (Simplified) (PDF, 622 KB)
Farsi (PDF, 700 KB)
Russian (PDF, 717 KB)
Spanish (PDF, 455 KB)
Tagalog (PDF, 456 KB)
Vietnamese (PDF, 599 KB) 
  

Download the Promise Notice of Privacy Practices Medi-Cal Los Angeles (LA)

English (PDF, 435 KB)
Arabic (PDF, 654 KB)
Armenian (PDF, 618 KB)
Chinese (Traditional) (PDF, 699 KB)
Chinese (Simplified) (PDF, 635 KB)
Farsi (PDF, 671 KB)
Khmer (PDF, 553 KB)
Korean (PDF, 683 KB)
Russian (PDF, 726 KB)
Spanish (PDF, 470 KB)
Tagalog (PDF, 497 KB)
Vietnamese (PDF, 634 KB)  

 

Privacy forms

Use this form to authorize Blue Shield of California Promise Health Plan to use or to disclose your health information to another person or organization:

Authorization for the release of health information, English (PDF, 134 KB)
Authorization for the release of health information, Chinese (PDF, 154 KB)
Authorization for the release of health information, Hindi (PDF, 210 KB)
Authorization for the release of health information, Korean (PDF, 152 KB)
Authorization for the release of health information, Spanish (PDF, 99 KB)
Authorization for the release of health information, Vietnamese (PDF, 197 KB)